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Individual

MRS. LATAUSHA GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2964 ULM RD, SUITE 38, HEPHZIBAH, GA 30815-5604
(706) 504-5525
Mailing address
2934 ULM RD, HEPHZIBAH, GA 30815-5600
(706) 504-5525

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
02/17/2012
Last updated
07/11/2012
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